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60 Cards in this Set

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Normal RBC count
Men:
Women:
RBC Count
Men: 4.6-6.2 x 10 /mm
Women: 4.2-5.4 x 10 /mm
Normal Hemoglobin (Hb) level
Men:
Women:
Hemoglobin (Hb) level
Men: 13.5-16.5 g/dl
Women: 12-15 g/dl
Normal Hematocrit level
Men:
Women:
Hematocrit (Hct) level
Men: 40-54%
Women: 38-47%
Normal WBC Count
Normal WBC Count
4500-11,500/mm
Normal Platelet Count
Normal Platelet Count
150,000-400,000/mm
Define Leukocytosis
Elevation of the WBC count
(normal WBC count: 4500-11,500/mm )
Define Leukopenia
WBC count below the normal value
(normal WBC count: 4500-11,500/mm )
What type of cell make up the majority of the circulating WBC's?
Neutrophils 40-75%
and
Lymphocytes 20--45%
A significant (>15,000/mm ) increase in the WBC count indicates what type of WBC is responding to the abnormality?
Neutrophils or Lymphocytes
What type of WBC is elevated with bacterial infections?
Neutrophils
What type of WBC is elevated with viral infections?
Lymphocytes
Which WBC is elevated with the presence of trauma?
Neutrophils
Which WBC is associated with allergic reactions?
Eosinophils/Basophils
Which WBC is elevated with the presence of TB or other chronic infections?
Monocytes
Define neutrophilia
Elevation of the absolute value of neutrophils
Define neutropenia
A decreased neutrophil count
When bacterial pneumonia is present, which WBC can help to evaluate the severity of the infection?
Severity of infection in bacterial pneumonia is assessed by the degree of increase in neutrophils
Define anemia
an abnormally low RBC count (RBC's carry oxygen)
What does anemia suggest about the patient?
anemia suggests that either RBC production in bone marrow is inadequate
or
there has been excessive blood loss
Define polycythemia
An abnormally elevated RBC count
Why does polycythemia usually develop?
as a result of chronically low blood oxygen levels in which the bone marrow is stimulated to produce extra RBC's
How much hemoglobin is present in a healthy RBC?
200-300 million molecules Hb per RBC; for a Hb level of 12-16 g/dl in healthy adult
Low Hb concentration does what to the RBC
RBC will be smaller then normal (microcytic) and lack normal color (hypochromic)
What does microcytic hypochromic anemia suggest/
oxygen carrying capacity of blood is reduced due to inadequate Hb concentration
What is the hematocrit level?
It is the ratio of RBC volume to that of whole blood
When are low and high hematocrit levels common
Low Hct: anemia
High Hct: polycythemia
What is a reflection of the hydration status of the patient
the hematocrit level;
Dehydration the Hct level increases
What is the approximate ratio of hematocrit to hemoglobin
Hematocrit to Hemoglobin ratio
3:1
Define thrombocytopenia
A significant reduction in platelet count
What signifies a low platelet count in a patient
easily bruises patient is also at a greater risk for hemorrhage.
Normal sodium level in the blood
Sodium
137-147 mEq/L
Normal Potassium level in the blood
Potassium
3.5-4.8 mEq/L
Normal Blood urea Nitrogen level of the blood
BUN
7-20 mg/dl
Normal Creatinine level in the blood
Creatinine
0.7-1.3 mg/dl
Normal Albumin level of the blood
Albumin
3.5-5.0 g/dl
Define Hyponatremia
Low sodium level
Define Hypokalemia
Low serum potassium level
Define Hypochloremia
Low serum chloride
What ion level of the body is increased with Cystic Fibrosis and can be detected from their sweat
CF patients have elevated levels of Chloride in sweat because their body cannot reabsorb it
What is the anion gap?
Anion Gap - the difference between the concentration of Sodium (primary cation) and HCO3 & CL (primary anions)
What is the normal anion gap?
8-16 mEq/L
What does an elevation of the anion gap indicate
Metabolic Acidosis
What does a widened anion gap indicate?
metabolic acidosis
What is creatine
waste product formed by muscle metabolism
What is the normal blood glucose level?
70-110 mg/dl
What is an abnormal elevation of the blood glucose level?
Hyperglycemia
The type of Diabetes associated with reduced insulin production
Type I Diabetes
The type of Diabetes associated with insulin resistance
Type II Diabetes
Which type of diabetes is usually aquired as an adult?
Type II Diabetes (insulin resistant)
What are the classic triad of systems associated with hyperglycemia?
1. excessive thirst
2. excessive need to urinate
3. increased appetite
What is known as a reduced serum glucose level
hypoglycemia (<70 mg/dl)
How does anemia increase the risk for hypoxia?
Anemia reduces the oxygen carrying capacity of the blood
What are the three types of cardiac cells capable of electrical excitation?
1. Pacemaker cells (SA node, AV node)
2. Specialized radpidly conducting tissue (Purkinje fibers)
3. Atrial & Ventricular muscle cells
what are some causes of hypoglycemia?
drug induced
associated w/digestive problem
or treatment of diabetes
inadequate intake of carbs
What is the gold standard for diagnosing diabetes?
blood glucose level >140 mg/dl on two occasions
how can you tell if a sputum sample is legitimate?
there are few epithelial cells and many leukocytes (pus cells) present
what are the three formed elements of the blood
leukocytes (WBC's)
erythrocytes (RBC's)
thrombocytes (platelets)
What is automaticity
the ability of the impulse conducting system cells to depolarize without stimulation
what is an ectopic beat
any heartbeat that originates outside the SA node
stimulation of the sympathetic nervous system has what effect on the heart rate
increases heart rate